| NPI | 1609330463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANDRA SALLEY Partner 252-762-9788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-01-25 |